A client is admitted to the hospital with a suspected deep vein thrombosis (DVT). Which question should the nurse ask during the health history to identify potential risk factors for DVT?
"Do you have a family history of high cholesterol?"
"Have you ever been diagnosed with asthma?"
"Have you recently traveled on a long flight?"
"Do you take any medications for diabetes?"
The Correct Answer is C
A) This choice is incorrect because a family history of high cholesterol is not directly related to DVT risk. While high cholesterol may contribute to other cardiovascular conditions, it is not a primary risk factor for DVT.
B) This choice is incorrect because a history of asthma is not a direct risk factor for DVT. Asthma is a respiratory condition and is not significantly associated with blood clot formation.
C) This choice is correct. Prolonged immobility during long flights, especially in cramped spaces, is a known risk factor for DVT. This condition is often referred to as "economy class syndrome" due to its association with long-haul flights in tight seating.
D) This choice is incorrect because the use of medications for diabetes does not directly relate to DVT risk. While some medications may influence blood clotting, diabetes itself is not a primary risk factor for DVT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because swelling and redness in the affected leg are common clinical manifestations of DVT but are not specific to detecting potential complications like a pulmonary embolism. The nurse should focus on respiratory and cardiovascular assessments for this purpose.
B) This choice is incorrect because elevated body temperature and chills may indicate an infection but are not specific to detecting potential complications of DVT, such as a pulmonary embolism.
C) This choice is correct. Pleuritic chest pain (sharp chest pain worsened by deep breathing or coughing) and hemoptysis (coughing up blood) are classic clinical manifestations of a pulmonary embolism, a potentially life-threatening complication of DVT.
D) This choice is incorrect because abdominal pain and distension are not typical signs of a pulmonary embolism. Abdominal pain may be related to other causes, such as gastrointestinal issues.
Correct Answer is B
Explanation
A) This choice is incorrect because palpating the pulses in the extremities primarily assesses arterial blood flow, not venous thrombosis. While pulse assessment is essential, it is not the priority for identifying DVT-related manifestations.
B) This choice is correct. Measuring calf and thigh circumference can help identify possible DVT by comparing the affected leg's size to the unaffected one. DVT can cause localized swelling in the affected limb.
C) This choice is incorrect because auscultating the lungs for crackles is not a specific assessment for DVT. Crackles may be present in pulmonary edema, which can be a complication of DVT, but they do not directly assess the presence of a blood clot in the veins.
D) This choice is incorrect because performing a capillary refill test is primarily used to assess peripheral perfusion and is not specific to DVT assessment.
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